Laserfiche WebLink
10. <br />I am providing the following items within my booth for the sanitary cleaning of food preparation utensils:11. <br />□ Three compartment sink. <br />OR <br />[Zflub to store wiping cloths in bleach solution. <br />12. <br />Ft Water supply dispenser with warm water at a minimum of 100°F (i.e. 5-20 gallon container with spigot). <br />13. <br />14.Completed by: <br />Signature <br />F <br />Papar Hand Towels <br />Soap dispenser <br />Cutting Board <br />BleachPropane Stove <br />Propane Tank <br />Bleach and WaterRinse Water <br />Fire Extinguisher <br />Ice Cooler <br />Page 8 of 11 TEMP EVENT APP <br />1 <br />Soap and Water <br />EHD 16-02 <br />08/01/16 <br />J^hThree deep tubs (basins 6-8 inches minimum), one for soapy water, one for rinsing and one for a bleach <br />solution (one tablespoon of bleach per gallon of water). <br />/E^foetergent, bleach, and wiping cloths (cleaning towels). <br />0 Ice chests <br />□ Refrigerated truck <br />□ Other (specify) <br />I am providing the following for adequate hand washing facilities, but separate from utensil wash within my <br />booth: <br />I am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br />45°F (if food is used the following day, maintain below 41 °F temperature): <br />Extra Ice Bags & Food Containers must be <br />stored 6 inches off of the ground! <br />Stnrno w/Chafflng <br />Dish <br />□ Refrigerator <br />z07ce bath and tubs <br />Garbage <br />Can <br />Sanitfztfl buckut- <br />bleach & water for <br />storing wiping cloths <br /> Booth must be on <br />Concrete, Asphalt, <br />Plywood, or a Tarp. <br />Extra <br />Water <br />5 Gal Hand wash <br />Wastewater Container <br />Names of responsible persons to be present in booth during all hours of operation: <br />IovVca, <br />JZJ One separate tub (bucket or basin) for the collection of rinse/wastewater. <br />0 Paper towels and pump-style soap container. <br />All food vendor booths are subject to inspection. Please make a copy of this application in <br />preparation for this event. A copy of this checklist must be in the booth at all hours of <br />preparation and operation. Return original to festival coordinator three weeks prior to <br />this event. <br />U v//? In <br />Date <br />Health Permit <br />**lmportant** <br />Title <br />5-20 Gal. <br />r- Hand wash Water